| NPI | 1376760132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER I MELANDER Chief Executive Officer 612-840-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 12359) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |